Tina Southward, PAC
NPI 1164434387 · Medical Physician Assistant · Roswell, NM
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tina Southward, PAC is a Medical Physician Assistant provider in Roswell, NM (NPI 1164434387).
Provider details
- NPI number
- 1164434387
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 95-PA10 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 407 W Country Club RdRoswell, NM 88201-5209Phone: (575) 627-9110Fax: (575) 623-2191
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2019-07-12
Frequently asked questions
- What is Tina Southward's NPI number?
- Tina Southward's National Provider Identifier (NPI) is 1164434387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tina Southward's specialty?
- Tina Southward is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tina Southward located?
- Tina Southward's practice location on file with NPPES is 75 Univeristy Blvd, Roswell, NM 88203.
- What is Tina Southward's phone number?
- The practice phone number listed in the NPPES registry for Tina Southward is (575) 624-7207.
- Does Tina Southward accept Medicare?
- Tina Southward is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tina Southward's NPI active?
- Yes — Tina Southward's NPI (1164434387) is active in the NPPES registry as of the last update on 2019-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.